Development and Validation of a Novel Patient Educational Booklet to Enhance Colonoscopy Preparation

Spiegel, Brennan M.; Talley, Jennifer; Shekelle, Paul G; Agarwal, Nikhil; Snyder, Bradley S.; Bolus, Roger; Kurzbard, Nicole; Chan, Michael; Ho, Ayy; Kaneshiro, Marc; Cordasco, Kristina M.; Cohen, Hartley

doi:10.1038/ajg.2011.75

Cited by 141 publications

(137 citation statements)

References 18 publications

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“…67 Educational aids provided conflicting results on bowel cleanliness, 68,69 and the effect on the ADR was not described. Split-dose bowel preparation improved quality scores assessed by unbiased observers, 70,71 but no information on the ADR was presented.…”

Section: Discussionmentioning

confidence: 87%

Water-aided colonoscopy: a systematic review

Leung

Amato

Ell

et al. 2012

Gastrointestinal Endoscopy

121

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Section: Discussionmentioning

confidence: 87%

Water-aided colonoscopy: a systematic review

Leung

Amato

Ell

et al. 2012

Gastrointestinal Endoscopy

121

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“…21,22 Conflicting results on bowel cleanliness have been reported in studies evaluating educational aids 23,24 and the effect on ADR was not described. Bowel preparation quality scores assessed by unbiased observers have been reported to be improved by split-dose bowel preparation, 25,26 but no information on ADR was presented.…”

Section: Commentarymentioning

confidence: 96%

Benchmarking and quality-screening colonoscopy

Leung¹

2012

jig

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“…financial, cultural, emotional), and warrant testing to assess their value for improving bowel preparation. We only identified two studies in the published literature that evaluated an intervention to assist patients in understanding and adhering to the prescribed bowel-preparation protocol [Spiegel et al 2011;Liu et al 2013].…”

Section: Discussionmentioning

confidence: 99%

Screening colonoscopy bowel preparation: experience in an urban minority population

Basch

Wolf

et al. 2013

Therap Adv Gastroenterol

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Methods: Suboptimal bowel preparation, present in over 20% of colonoscopies, can severely compromise the effectiveness of the colonoscopy procedure. We surveyed 93 primarily urban minority men and women who underwent asymptomatic 'screening' colonoscopy regarding their precolonoscopy bowel-preparation experience. Results: Print materials alone (39.8%) and in-person verbal instructions alone (35.5%) were reportedly the most common modes of instruction from the gastroenterologists. Liquidcontaining laxative (70.6%) was the most common laxative agent; a clear liquid diet (69.6%) the most common dietary restriction. Almost half of the participants mentioned 'getting the laxative down' as one of the hardest parts of the preparation; 40.9% mentioned dietary restrictions. The 24.7% who mentioned 'understanding the instructions' as one of the hardest parts were more likely to be non-US born and to have lower education and income. There was no relationship between difficulty in understanding instructions and mode of instruction or preparation protocol. One quarter suggested that a smaller volume and/or more palatable liquid would have made the preparation easier. Three quarters agreed that it would have been helpful to have someone to guide them through the preparation process. Conclusions: These findings suggest a variety of opportunities for both physician-and patientdirected educational interventions to promote higher rates of optimal colonoscopy bowel preparation.

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Development and Validation of a Novel Patient Educational Booklet to Enhance Colonoscopy Preparation

Abstract: Provision of a novel educational booklet considerably improves preparation quality in patients receiving single-dose purgatives. The effect of the booklet on split-dose purgatives remains untested and will be evaluated in future research.

Cited by 141 publications

References 18 publications

Water-aided colonoscopy: a systematic review

Water-aided colonoscopy: a systematic review

Benchmarking and quality-screening colonoscopy

Screening colonoscopy bowel preparation: experience in an urban minority population

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